ASICS Junior Challenge and Fun Runs
in conjunction with the Watford Half Marathon
Sunday 6th February 2005 Starting at 10.30am
Closing Date 29th January 2005

ENTRY FORM

Surname: First Name:
Address:
 
Town: County:
Post Code: Telephone:
Sex: Date of Birth:
Age on Day:    
School:
Athletic Club
(if any):
Email:

ENTRY FEE: £3.00
A commemorative item will be given to all finishers.

Please enclose your cheque payable to WATFORD HARRIERS and send your entry to:
JUNIOR RACE SECRETARY 7 Rainbow Court, Oxhey Road, Watford, Herts WD19 4RP

NUMBERS to be collected on the day from the MARQUEE in CASSIOBURY PARK
UNLESS A STAMPED ADDRESSED ENVELOPE IS ENCLOSED FOR THEIR RETURN in which case the Race Number will be sent out shortly before the race.

DECLARATION: Please accept this entry for the Junior Fun Runs . I accept that I am medically fit to compete and enter at my own risk and that the organisers, sponsors or assisants will in no way be held responsible for any injury before, during or after the event or for any property damaged or lost. I also declare that I have no medical disabilities that will endanger me or others participating in the event.

Signed                                                          Date
(parent or guardian if under 16)


Please tick/click this box if you do not wish your details to be passed onto our sponsors